Apps para dejar de fumar mediante Terapia Cognitivo Conductual. Una revisión sistemática

García‐Pazo, Patricia; Fornés-Vives, Joana; Sesé, Albert; Pérez-Pareja, Francisco Javier

doi:10.20882/adicciones.1431

Cited by 5 publications

(2 citation statements)

References 28 publications

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“…For example, we found that less than 1 in 5 apps provided evidence-based support for smoking cessation, such as peer support or skill training, including mindfulness and deep breathing, and even fewer provided evidence-based approaches, such as Acceptance and Commitment Therapy or CBT interventions. Similar findings were noted in another recent review, where only 3 apps provided CBT skill training [45].…”

Section: Overviewsupporting

confidence: 87%

Smartphone Apps for Smoking Cessation: Systematic Framework for App Review and Analysis

et al. 2023

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Background Cigarette smoking is a leading cause of preventable death, and identifying novel treatment approaches to promote smoking cessation is critical for improving public health. With the rise of digital health and mobile apps, these tools offer potential opportunities to address smoking cessation, yet the functionality of these apps and whether they offer scientifically based support for smoking cessation are unknown. Objective The goal of this research was to use the American Psychiatric Association app evaluation model to evaluate the top-returned apps from Android and Apple app store platforms related to smoking cessation and investigate the common app features available for end users. Methods We conducted a search of both Android and iOS app stores in July 2021 for apps related to the keywords “smoking,” “tobacco,” “smoke,” and “cigarette” to evaluate apps for smoking cessation. Apps were screened for relevance, and trained raters identified and analyzed features, including accessibility (ie, cost), privacy, clinical foundation, and features of the apps, using a systematic framework of 105 objective questions from the American Psychiatric Association app evaluation model. All app rating data were deposited in mindapps, a publicly accessible database that is continuously updated every 6 months given the dynamic nature of apps available in the marketplace. We characterized apps available in July 2021 and November 2022. Results We initially identified 389 apps, excluded 161 due to irrelevance and nonfunctioning, and rated 228, including 152 available for Android platforms and 120 available for iOS platforms. Some of the top-returned apps (71/228, 31%) in 2021 were no longer functioning in 2022. Our analysis of rated apps revealed limitations in accessibility and features. While most apps (179/228, 78%) were free to download, over half had costs associated with in-app purchases or full use. Less than 65% (149/228) had a privacy policy addressing the data collected in the app. In terms of intervention features, more than 56% (128/228) of apps allowed the user to set and check in on goals, and more than 46% (106/228) of them provided psychoeducation, although few apps provided evidence-based support for smoking cessation, such as peer support or skill training, including mindfulness and deep breathing, and even fewer provided evidence-based interventions, such as acceptance and commitment therapy or cognitive behavioral therapy. Only 12 apps in 2021 and 11 in 2022 had published studies supporting the feasibility or efficacy for smoking cessation. Conclusions Numerous smoking cessation apps were identified, but analysis revealed limitations, including high rates of irrelevant and nonfunctioning apps, high rates of turnover, and few apps providing evidence-based support for smoking cessation. Thus, it may be challenging for consumers to identify relevant, evidence-based apps to support smoking cessation in the app store, and a comprehensive evaluation system of mental health apps is critically important.

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Section: Overviewsupporting

confidence: 87%

Smartphone Apps for Smoking Cessation: Systematic Framework for App Review and Analysis

et al. 2023

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“…However, most of the existing mHealth apps on the market were not developed following the recommendations of the USCPG, given that they do not incorporate the brief advice known as the mnemonic rule of the 5 A’s: Ask, Advise, Assess, Assist, and Arrange [ 6 ]. Nor do they include BT [ 18 ] such as CBT [ 19 ], even though scientific evidence indicates that their inclusion improves efficacy rates [ 20 ]. Instead, some apps include acceptance and commitment therapy (ACT) [ 19 ], which is not cited in the CPGs [ 6 , 7 , 21 ].…”

Section: Introductionmentioning

confidence: 99%

NoFumo+: A Clinical Trial of an mHealth for Smoking Cessation with Hospitalized Patients

García‐Pazo

Sesé

Llabrés

et al. 2021

IJERPH

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Smartphone applications (apps) improve accessibility to smoking cessation treatments. The NoFumo+ app administers a cognitive behavioral therapy program for smoking cessation. This study evaluates the efficacy of NoFumo+ for quitting smoking or reducing cigarette consumption versus the usual information-based treatment. A clinical trial was conducted with 99 hospitalized smokers, 54 pseudo-randomly assigned to the app treatment and 45 to the usual treatment. The two groups had homogeneous baseline characteristics to ensure comparability. Abstinence was evaluated at post-treatment (two months) and at a six-month follow-up. The results obtained indicate that participants who receive the usual treatment are 5.40 times more likely to continue smoking than those who undergo the app treatment (95% CI = [1.35; 20.15]). Participants who do not succeed in quitting smoking with the app manage to decrease their habitual consumption. Users who successfully complete treatment with NoFumo+ access all its contents and use the chat, but without requesting professional support. There is not enough empirical evidence to attribute this success to any specific element of the app. NoFumo+ achieves better abstinence rates than the usual information-based treatments, and the goal of generalizing its use to the non-hospitalized smoking population may be achievable in the future.

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NoFumo+: Mobile Health App to Quit Smoking Using Cognitive‐Behavioral Therapy

García-Pazo,

Fornés-Vives,

Abad

2024

Nursing Research and Practice

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This paper describes the development and test of a smartphone application to quit smoking using cognitive behavioral therapy (CBT). The tool includes recommendations from US Clinical Practice Guidelines (USCPG), drawing on the potential of smartphones and complying with the health App (mHealth) assessment standards. The mHealth created, called NoFumo+, is structured by 4 weeks treatment, implements the USCPG 5A recommendations (ask, advise, assess, assist, and arrange) and incorporates a CBT. It also includes complementary information, monitoring of the smoking behavior, social support for users, proposals for alternative activities to smoking, and innovative gamification to encourage and reward adherence. To technical development, a multidisciplinary team was formed (healthcare, research, and software engineers) that made theoretical decisions on both technical issues and the incorporation of therapeutic techniques. The validation was carried out in two phases; the first in the laboratory by a group of experts in information and communication technologies and CBTs (n = 15) and the second, a field study with smokers (n = 10). The standards for the development of mHealth recommended by the Andalusian Healthcare Quality Agency and the App quality evaluation guidelines of the Catalonian ICT Foundation for Social Health were used as assessment protocols by the experts’ panel and the smokers’ group, respectively. Experts’ assessment results were satisfactory and some improving changes were suggested, such as to add more gamification elements. The group of smokers rated the mHealth as 100% easy to use and effective for quit smoking and understandable by the 83.3%. They also found No Fumo + quite useful to have the information available at all times. The obtained evidence after a complete two‐phased validation study, with experts and potential users, shows a mHealth with high quality and easy to use. Finally, investigation project registered in ClinicalTrials.gov with reference to this trial is registered with NCT045402004.

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Apps para dejar de fumar mediante Terapia Cognitivo Conductual. Una revisión sistemática

Cited by 5 publications

References 28 publications

Smartphone Apps for Smoking Cessation: Systematic Framework for App Review and Analysis

Smartphone Apps for Smoking Cessation: Systematic Framework for App Review and Analysis

NoFumo+: A Clinical Trial of an mHealth for Smoking Cessation with Hospitalized Patients

NoFumo+: Mobile Health App to Quit Smoking Using Cognitive‐Behavioral Therapy

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